This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with cancer has been receiving codeine and a nonsteroidal anti-inflammatory medication for ... (Read 80 times)

RRMR

  • Hero Member
  • *****
  • Posts: 557
on: Jul 23, 2018
A patient with cancer has been receiving codeine and a nonsteroidal anti-inflammatory medication for pain. The patient reports worsening of pain in both intensity and frequency.
 
  The nurse will tell the patient to contact the provider to discuss:
  a. using a fentanyl transdermal patch.
  b. adding an adjuvant analgesic drug.
  c. increasing the dose of the codeine.
  d. using hydrocodone or oxycodone.

Question 2

A patient who has cancer reports pain as burning and shooting alternating with feelings of numbness and coldness. The nurse will contact the provider to discuss the use of which medication?
 
  a. Acetaminophen
  b. Ibuprofen
  c. Imipramine (Tofranil)
  d. Oxycodone (OxyContin)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Benayers

  • Sr. Member
  • ****
  • Posts: 328
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
As patients have increased pain, it is important to increase the level of analgesia. Hydrocodone or oxycodone is useful as pain increases, after nonopioid analgesics have been tried. Fentanyl transdermal patches are used for chronic, severe pain in patients who are already tolerant to opioids. Adjuvant analgesics can be used at any stage of pain progression but are used for neuropathic pain. Codeine is not recommended for cancer pain, because it has dose-limiting side effects; increasing the dose of codeine is never recommended.

Answer to Question 2

ANS: C
This patient is describing neuropathic pain, which results from injury to peripheral nerves. This type of pain responds poorly to opioid analgesics but does respond to adjuvant analgesics, which include antidepressants such as imipramine. Acetaminophen and ibuprofen are used for mild nociceptive pain, and oxycodone is used for more severe nociceptive pain.


RRMR

  • Hero Member
  • *****
  • Posts: 557
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Benayers

  • Sr. Member
  • ****
  • Posts: 328
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

Did you know?

Asthma-like symptoms were first recorded about 3,500 years ago in Egypt. The first manuscript specifically written about asthma was in the year 1190, describing a condition characterized by sudden breathlessness. The treatments listed in this manuscript include chicken soup, herbs, and sexual abstinence.

Did you know?

Patients who have undergone chemotherapy for the treatment of cancer often complain of a lack of mental focus; memory loss; and a general diminution in abilities such as multitasking, attention span, and general mental agility.

Did you know?

Malaria was not eliminated in the United States until 1951. The term eliminated means that no new cases arise in a country for 3 years.

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Progression of changes leading to lung cancer Progression of changes leading to lung cancer
The general survey includes assessing every patient for signs of distress. The general survey includes assessing every patient for signs of distress.
Lumbar puncture. Abbreviated LP, the lumbar puncture is a common procedure that withdraws cerebrospi Lumbar puncture. Abbreviated LP, the lumbar puncture is a common procedure that withdraws cerebrospi
THE DIMENSIONS OF PATIENT-CENTERED CARE THE DIMENSIONS OF PATIENT-CENTERED CARE
The reminder card should be completed and handed to the patient after the appointment is scheduled. The reminder card should be completed and handed to the patient after the appointment is scheduled.
Inspecting a patient’s ear during a physical examination. Inspecting a patient’s ear during a physical examination.
Video: Simple and Double Sugar

For a complete list of videos, visit our video library